Quantitative assessments of paraspinal muscles and their relationship with lumbar extensor muscle function based on Dixon magnetic resonance imaging techniques.

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Can Chen, Chengmin Zhang, Yong Tang, Hao Xue, Wei Dai, Xueke Yu, Jiulin Tan, Sen Yang, Jun Zhao, Fei Luo
{"title":"Quantitative assessments of paraspinal muscles and their relationship with lumbar extensor muscle function based on Dixon magnetic resonance imaging techniques.","authors":"Can Chen, Chengmin Zhang, Yong Tang, Hao Xue, Wei Dai, Xueke Yu, Jiulin Tan, Sen Yang, Jun Zhao, Fei Luo","doi":"10.1177/10538127251321769","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundThe dysfunction of paraspinal muscles is closely associated with degenerative spine disorders and the development of low-back pain. Currently, methods for evaluating paraspinal muscle function mainly focus on anatomical imaging and functional assessment.ObjectiveThis study aimed to explore the quantitative assessments of paraspinal muscles and their relationship with the strength and endurance of lumbar extensor muscles based on magnetic resonance imaging with Dixon techniques.MethodsFifty-four volunteers aged 45 years and older were recruited from our outpatient clinic. The participants underwent 3.0-T Dixon magnetic resonance imaging of the lumbar region. The Dixon sequence was used for measuring the cross-sectional area (CSA) and fat infiltration (FI) of paraspinal muscles (multifidus, erector spinae, and psoas major) at the L1-S1 level. The strength and endurance of lumbar extensor muscles were assessed using a standing external fixation testing bracket. Pearson or Spearman coefficients were used to evaluate the relationship between the quantitative assessment indicators of paraspinal muscle degeneration and the strength and endurance of lumbar extensor muscles (corrected for body height [BH] and weight [BW]).ResultsAt the L1-2 level, multifidus FI negatively correlated with extensor strength (ES), ES/BH, extensor endurance (EE), EE/BH, and EE/BW (r = -0.286, -0.269, -0.317, -0.306, -0.281; P < 0.05), and erector spinae FI negatively correlated with EE, EE/BH, and EE/BW (r = -0.315, -0.293, -0.268; P < 0.05). At the L2-3 level, multifidus FI negatively correlated with EE, EE/BH, and EE/BW (r = -0.358, -0.347, -0.327; P < 0.05), and erector spinae FI negatively correlated with EE, EE/BH, and EE/BW (r = -0.334, -0.310, -0.283; P < 0.05). At the L3-4 level, multifidus FI negatively correlated with EE (r = -0.271, P < 0.05), and psoas major CSA negatively correlated with ES/BW (r = -0.299, P < 0.05). At the L4-5 level, multifidus FI negatively correlated with EE and EE/BH (r = -0.286, -0.268; P < 0.05). At the L5-S1 level, multifidus FI negatively correlated with EE, EE/BH, and EE/BW (r = -0.418, -0.404, -0.377; P < 0.05).ConclusionThe FI of multifidus at the L5-S1 level may reflect the endurance level of extensor muscles to some extent. The FI of paraspinal muscles is relatively better than CSA in predicting the strength and endurance of lumbar extensor muscles. Proper extensor muscle functional exercises may slow down the process of paraspinal muscle FI to some extent.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251321769"},"PeriodicalIF":1.4000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Back and Musculoskeletal Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10538127251321769","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

BackgroundThe dysfunction of paraspinal muscles is closely associated with degenerative spine disorders and the development of low-back pain. Currently, methods for evaluating paraspinal muscle function mainly focus on anatomical imaging and functional assessment.ObjectiveThis study aimed to explore the quantitative assessments of paraspinal muscles and their relationship with the strength and endurance of lumbar extensor muscles based on magnetic resonance imaging with Dixon techniques.MethodsFifty-four volunteers aged 45 years and older were recruited from our outpatient clinic. The participants underwent 3.0-T Dixon magnetic resonance imaging of the lumbar region. The Dixon sequence was used for measuring the cross-sectional area (CSA) and fat infiltration (FI) of paraspinal muscles (multifidus, erector spinae, and psoas major) at the L1-S1 level. The strength and endurance of lumbar extensor muscles were assessed using a standing external fixation testing bracket. Pearson or Spearman coefficients were used to evaluate the relationship between the quantitative assessment indicators of paraspinal muscle degeneration and the strength and endurance of lumbar extensor muscles (corrected for body height [BH] and weight [BW]).ResultsAt the L1-2 level, multifidus FI negatively correlated with extensor strength (ES), ES/BH, extensor endurance (EE), EE/BH, and EE/BW (r = -0.286, -0.269, -0.317, -0.306, -0.281; P < 0.05), and erector spinae FI negatively correlated with EE, EE/BH, and EE/BW (r = -0.315, -0.293, -0.268; P < 0.05). At the L2-3 level, multifidus FI negatively correlated with EE, EE/BH, and EE/BW (r = -0.358, -0.347, -0.327; P < 0.05), and erector spinae FI negatively correlated with EE, EE/BH, and EE/BW (r = -0.334, -0.310, -0.283; P < 0.05). At the L3-4 level, multifidus FI negatively correlated with EE (r = -0.271, P < 0.05), and psoas major CSA negatively correlated with ES/BW (r = -0.299, P < 0.05). At the L4-5 level, multifidus FI negatively correlated with EE and EE/BH (r = -0.286, -0.268; P < 0.05). At the L5-S1 level, multifidus FI negatively correlated with EE, EE/BH, and EE/BW (r = -0.418, -0.404, -0.377; P < 0.05).ConclusionThe FI of multifidus at the L5-S1 level may reflect the endurance level of extensor muscles to some extent. The FI of paraspinal muscles is relatively better than CSA in predicting the strength and endurance of lumbar extensor muscles. Proper extensor muscle functional exercises may slow down the process of paraspinal muscle FI to some extent.

背景脊柱旁肌肉功能障碍与脊柱退行性病变和腰背痛的发生密切相关。本研究旨在探讨基于 Dixon 技术的磁共振成像对脊柱旁肌肉的定量评估及其与腰部伸肌力量和耐力的关系。参与者接受了腰部 3.0-T Dixon 磁共振成像。Dixon 序列用于测量 L1-S1 层脊柱旁肌肉(多裂肌、竖脊肌和腰大肌)的横截面积(CSA)和脂肪浸润(FI)。使用站立外固定测试支架评估了腰部伸肌的力量和耐力。结果在 L1-2 水平,多裂肌 FI 与伸肌力量 (ES)、ES/BH、伸肌耐力 (EE)、EE/BH 和 EE/BW 负相关 (r = -0.286, -0.269, -0.317, -0.306, -0.281; P = -0.286, -0.269, -0.317, -0.306, -0.281)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信